Aya Ali Saaid Mahmoud, <br/><br/>
The effect of whole body vibration on neck disability and proprioception in patients with forward head posture / 
 تاثير اهتزاز الجسم بالكامل على الادراك الحسي العميق واعاقه الرقبه في المرضي الذين يعانون من وضعيه الراس الاماميه / 
by Aya Ali Saaid Mahmoud ; Supervisors Prof. Dr Wadida Hassan Abdel Qader Elsayed, Prof. Dr Nabil Mahmoud Ismail, Prof. Dr Sherif Ahmed Khaled. 
 - 130 pages :   illustrations ;   25 cm. +   CD. 
<br/><br/>Thesis (Ph.D)-Cairo University, 2024. 
<br/><br/>Bibliography: pages 107-126. 
<br/><br/> Background: Forward head posture (FHP) changes the biomechanical stress of the cervical spine and leads to neck pain, disability and proprioception deficit. Whole body vibration (WBV) exposure is a neuromuscular training method that has recently gained popularity in the health sector and rehabilitation centers. Purpose: To investigate the effect of adding WBV training to conventional physical therapy program (CPTP) on neck pain intensity level, cervical range of motion (ROM), proprioception accuracy and neck function level in patients with FHP with neck pain. Methods: Forty patients aged 18-25 years, with FHP and neck pain, craniovertebral angle (CVA) 49° or less were randomly allocated either into group A (control group) or group B (WBV group). Group A received CPTP (stretching and strengthening exercise) and group B received CPTP plus WBV training. Interventions were conducted 3 times a week for 4 weeks. Outcome measures: Pain intensity level, cervical ROM and proprioception accuracy and neck function level were measured by visual analogue scale (VAS), smart phone clinometer (Clin-app) and neck disability index (NDI) respectively at baseline and after 4 weeks of intervention. Results: After 4 weeks of intervention, there were statistically significant differences in pain intensity level and neck proprioception absolute error (NPAE) of rotation in Favor of the WBV group (p<0.05). There were no significant differences in cervical ROM, NPAE of flexion and extension nor neck function level (p > 0.05); however, there was clinical importance when adding WBV to CPTP on cervical ROM, NPAE of flexion and extension and neck function level when compared to pre-treatment. There was an increase in the ROM by 30 % for each of flexion and extension, 23%, 25%, 35% and 36% for right side bending, left side bending, right rotation and left rotation respectively. There was a decrease in the NPAE of flexion and extension and the NDI score by 64%, 53% and 64% respectively. Conclusion: Adding WBV training to the CPTP improves pain intensity level and NPAE of rotation more than CPTP alone with no further improvements in terms of cervical ROM, NPAE of flexion and extension nor neck function level in patients with FHP with neck pain. However, the combination of WBV training and CPTP has clinical importance in the improvement of limited cervical ROM, proprioception deficits of flexion and extension and neck disability.  وضعية الرأس الأمامية تغير الضغط الميكانيكي الحيوي للعمود الفقري العنقي وتؤدي إلى الم واعاقه في الرقبة، وانخفاض الادراك الحسي العميق للرقبه. يمكن أن يقلل تدريب اهتزاز الجسم بالكامل من الألم، ويحسن الاستقرار الوضعي، والتوازن، والاحساس بوضع المفصل.  للتحقيق في تأثيراضافه تدريب اهتزاز الجسم بالكامل الي برنامج العلاج الطبيعي التقليدي على مستوى شدة الم الرقبة، والمدي الحركي للرقبة والادراك الحسي العميق، والاداء الوظيفي للرقبة لدي المرضي الذين يعانون من وضعية الرأس الأمامية.<br/>الكلمات الداله: وضعية الرأس الأمامية، اهتزاز الجسم بالكامل، آلام الرقبة، إعاقة الرقبة، الادراك الحسي العميق للرقبة، المدي الحركي للرقبه وتطبيق مقياس الزاويه على الهاتف الذكي   
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<br/><br/><br/>Text in English and abstract in Arabic & English. 
<br/><br/><label>Subjects--Topical Terms: </label><br/>Physical Therapy 
<br/><br/><label>Subjects--Index Terms: </label>Forward head posture  whole body vibration  neck pain  neck disability  neck proprioception  cervical ROM and clinometer app. 
<br/><br/><label>Dewey Class. No.: </label>615.82